How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $58.88 | Facility | None | $17.38 | $30.20 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $19.95 | Professional | None | $14.13 | $18.62 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.18 | Professional | None | $11.48 | $11.48 | $13.18 |
BCBS Kansas Setting Facility Modifier None Typical Low $44.67 Median $47.86 Typical High $70.79 | Facility | None | $44.67 | $47.86 | $70.79 |
BCBS Kansas Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $23.99 Typical High $42.66 | Facility | None | $13.18 | $23.99 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $47.86 Typical High $51.29 | Professional | None | $11.48 | $47.86 | $51.29 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $30.90 Typical High $51.29 | Facility | None | $16.98 | $30.90 | $51.29 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $35.48 | Professional | None | $7.94 | $11.22 | $35.48 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $18.62 | Facility | None | $11.22 | $11.22 | $18.62 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $38.90 | Professional | None | $7.94 | $11.22 | $38.90 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $9.33 Typical High $10.00 | Professional | 52 · Reduced service | $8.13 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.80 Typical High $3.98 | Professional | 53 · Discontinued | $3.24 | $3.80 | $3.98 |
Where Kansas sits
The same service costs 10.0 times more in Vermont than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 3rd of 51
$44.67
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.